John L Kennedy Jr, MD | |
971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 | |
(601) 362-1990 | |
(601) 362-1988 |
Full Name | John L Kennedy Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 37 Years |
Location | 971 Lakeland Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144263062 | NPI | - | NPPES |
00112364 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 11740 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Whitfield Medical Surgical Hospital | Whitfield, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Anesthesia Group, P.a. | 6103806864 | 43 |
Entity Name | Physicians Anesthesia Group, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098 |
Entity Name | Lifelinc Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
Mailing Address | Practice Location Address |
---|---|
John L Kennedy Jr, MD 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 Ph: (601) 362-1990 | John L Kennedy Jr, MD 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 Ph: (601) 362-1990 |
Stephen Commiskey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Jessica Safley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Dr. Larkin H Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 | |
Dr. Daniel Castillo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Anesthesiology, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Edwin P Sudduth, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 202, Jackson, MS 39216 Phone: 601-362-1990 Fax: 601-362-1988 | |
Dr. Melissa Johnson Pippin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 901-270-4898 | |
Dr. Martha Elizabeth Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 |